Nephrology and geriatrics integrated : Proceedings of the Conference on Integrating Geriatrics into Nephrology, held in Jasper, Alberta, Canada, july 31- august 5, 1998

Because of many advances in medicine and biotechnology, an increasing number of individuals are surviving into old age, and we are now challenged to apply sophisticated medical knowledge to the care of the elderly citizen. In nephrology, individuals older than 65 are the fastest-growing group of patients requiring dialysis. Similarly, in increasing numbers, elderly persons present themselves with renal complaints to their family doctor, the geriatrician or the nephrologist. In August 1998, with the financial support of the John A. Hartford Foundation, leaders in geriatrics, nephrology and urology met in Jasper, Alberta, for one week to discuss their areas of special knowledge and to learn from each other. Geriatricians learned from nephrologists, nephrologists learned from geriatricians, and both came to see that they had much in common. All participants discovered a common interest, challenge and commitment, namely, to provide the best renal care to a progressively aging population and to teach their fellows the principles of the other collaborating specialties. This book contains all the papers presented at this meeting and also the text of group discussions on Training and Education, Special Clinical Problems in Geriatric Patients, and Recommendations in Basic and Clinical Research. Nephrology and Geriatrics Integrated will prove useful to both nephrologists and geriatricians in their efforts to manage the renal complaints of the elderly, who come to them in increasing numbers. The book contains black-and-white illustrations. Front Matter....Pages i-xix The Clinical Physiology of Aging....Pages 1-16 Aging Kidneys in an Aging Population: How Does This Impact Nephrology and Nephrologists?....Pages 17-26 The Aging Kidney....Pages 27-36 Aging: Its Influence on Drug Disposition and Effect....Pages 37-43 Drug-Related Renal Dysfunction in the Elderly....Pages 45-50 Fluid and Electrolyte Balance in the Elderly....Pages 51-55 Glomerular Disease in the Elderly Population....Pages 57-66 Renal Artery Disease in the Elderly....Pages 67-75 Diabetic Nephropathy in Patients with Type II Diabetes....Pages 77-89 Acute Renal Failure in the Elderly....Pages 91-111 Hemodialysis in Elderly Patients....Pages 113-126 Peritoneal Dialysis in Older Individuals....Pages 127-135 New Insights into Aging and Renal Osteodystrophy....Pages 137-147 Older Transplant Recipients; Older Transplant Donors - What Are the Issues?....Pages 149-154 Hydronephrosis and Renal Deterioration in the Elderly due to Abnormalities of the Lower Urinary Tract and Ureterovesical Junction....Pages 155-165 The Geriatric Patient with Obstructive Uropathy....Pages 167-177 Urinary Incontinence in the Elderly....Pages 179-198 Access of the Elderly to Dialysis....Pages 199-202 Dialysis Withdrawal....Pages 203-205 Managed Care, Geriatrics, and Nephrology....Pages 207-211 The Challenges of Geriatric Nephrology Managed Care/Disease Management....Pages 213-223 Front Matter....Pages 225-225 Training and Education....Pages 227-229 Special Clinical Problems in Geriatric Patients....Pages 231-232 Research: Basic and Clinical....Pages 233-238 Epilogue....Pages 239-243 Because of many advances in medicine and biotechnology, an increasing number of individuals are surviving into old age, and we are now challenged to apply sophisticated medical knowledge to the care of the elderly citizen. In nephrology, individuals older than 65 are the fastest-growing group of patients requiring dialysis. Similarly, in increasing numbers, elderly persons present themselves with renal complaints to their family doctor, the geriatrician or the nephrologist. In August 1998, with the financial support of the John A. Hartford Foundation, leaders in geriatrics, nephrology and urology met in Jasper, Alberta, for one week to discuss their areas of special knowledge and to learn from each other. Geriatricians learned from nephrologists, nephrologists learned from geriatricians, and both came to see that they had much in common. All participants discovered a common interest, challenge and commitment, namely, to provide the best renal care to a progressively aging population and to teach their fellows the principles of the other collaborating specialties. This book contains all the papers presented at this meeting and also the text of group discussions on Training and Education, Special Clinical Problems in Geriatric Patients, and Recommendations in Basic and Clinical Research. __Nephrology and Geriatrics Integrated__ will prove useful to both nephrologists and geriatricians in their efforts to manage the renal complaints of the elderly, who come to them in increasing numbers. Proceedings of the Conference on Integrating Geriatrics into Nephrology, Jasper, Alberta, Canada, July 31-August 5, 1998